Provider Demographics
NPI:1689690232
Name:FOLCIK-GERKEN, JENNY L (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:L
Last Name:FOLCIK-GERKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26657 WOODWARD AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1371
Mailing Address - Country:US
Mailing Address - Phone:248-398-8400
Mailing Address - Fax:248-398-8487
Practice Address - Street 1:26657 WOODWARD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1371
Practice Address - Country:US
Practice Address - Phone:248-398-8400
Practice Address - Fax:248-398-8487
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081733208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics